[Perinatal morbidity and mortality in children born to mothers with gestational hypertension]

B Galanti1, C T Kaihura, L Ricci

  • 1Cattedra di Ginecologia e Ostetricia, Clinica Ostetrica e Ginecologica, Università degli Studi di Parma.

Acta Bio-Medica De L'Ateneo Parmense : Organo Della Societa Di Medicina E Scienze Naturali Di Parma
|June 27, 2001
PubMed

Insights

Gestational hypertension significantly increases risks for mothers and newborns, leading to premature birth, low birth weight, and higher still-birth rates. Key risk factors include advanced maternal age, nulliparity, and obesity.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Epidemiology

Context:

  • Gestational hypertension is a serious pregnancy complication with significant maternal and neonatal implications.
  • It is a leading cause of maternal morbidity and contributes to perinatal mortality through fetal hypoxia, prematurity, and low birth weight.
  • Current management primarily involves delivery, with timing and method dictated by hypertension severity and maternal/fetal complications.

Purpose:

  • To investigate the clinical course and identify risk factors for gestational hypertension.
  • To compare maternal and neonatal outcomes between women with gestational hypertension and a healthy control group.

Summary:

  • A clinical-epidemiological study analyzed 50 women with gestational hypertension and 80 controls.
  • Identified risk factors for gestational hypertension include advanced maternal age, nulliparity, and elevated BMI.
  • Hypertensive pregnancies resulted in higher rates of premature birth, cesarean sections, lower birth weights (newborn and placenta), reduced Apgar scores, increased NICU admissions, and a 14% still-birth rate.

Impact:

  • Findings highlight the severe adverse effects of gestational hypertension on neonatal outcomes, including prematurity and mortality.
  • Identifies key maternal risk factors, aiding in early risk assessment and potential intervention strategies.
  • Emphasizes the critical need for vigilant monitoring and management of gestational hypertension to improve maternal and neonatal prognosis.

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